MR. ROY G. HAYNES CRNA
NPI 1174636989
Nurse Anesthetist, Certified Registered in Normal, IL
About Mr. Roy G. Haynes Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ROY G. HAYNES CRNA (NPI 1174636989) is an individual nurse anesthetist, certified registered in Normal, Illinois, licensed in Illinois (209-001422) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Roy G. Haynes Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Roy Haynes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, IL 61701
- Reassigned Medicare billing, Illinois enrollment
- 12 clinicians in this Medicare group
Streator, IL 61364
- Reassigned Medicare billing, Illinois enrollment
- 57 clinicians in this Medicare group
Frankfort, IL 60423
- Reassigned Medicare billing, Illinois enrollment
- 164 clinicians in this Medicare group
Elkhart, IN 46514
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Great Lakes Anesthesia PC
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORMAL, IL 61761
NORMAL, IL 61761
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roy Haynes's NPI number?
The NPI number for Roy Haynes is 1174636989. It was assigned to this individual provider in the NPPES registry on August 16, 2006. The provider is also known as R Garland Haynes Crna.
Where is Roy Haynes located?
Roy Haynes practices at 2200 Jacobssen Dr Ste B, Normal, IL 61761. The listed phone number is (309) 451-1123.
What is Roy Haynes's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Roy Haynes enrolled in Medicare?
Yes. Roy Haynes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Roy Haynes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roy Haynes reassigns Medicare benefits to 4 organizations: Premier Medical Group, LLC (Bloomington, IL), Anesthesia Pain Services LLC (Streator, IL), Windy City Anesthesia PC (Frankfort, IL) and Great Lakes Anesthesia, P.C. (Elkhart, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roy Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Roy Haynes was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Roy G. Haynes, CRNA · NPI 1174636989
Nurse Anesthetist, Certified Registered physician in Normal, Illinois. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1174636989 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209-001422 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 JACOBSSEN DR STE B, Normal, IL 61761-5516
- **Phone:** (309) 451-1123 · **Fax:** (309) 451-1212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Premier Medical Group, LLC (NPI 1942501978, Bloomington, IL); Anesthesia Pain Services LLC (NPI 1790075489, Streator, IL); Windy City Anesthesia PC (NPI 1932248622, Frankfort, IL); Great Lakes Anesthesia, P.C. (NPI 1720039977, Elkhart, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** December 8, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1174636989) · Data from the CMS NPPES public registry.